Two Cases of Cerebral Amyloid Angiopathy-Related Intracerebral Hemorrhage

, Jae Seung Bang; , Jun Seok Koh; , Seung Hwan Lee; , Young Jin Lim1

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2009;5(1):82-86.
Published online June 30, 2009.

Two Cases of Cerebral Amyloid Angiopathy-Related Intracerebral Hemorrhage

Jae Seung Bang , Jun Seok Koh , Seung Hwan Lee , Young Jin Lim1

Department of Neurosurgery of East-West Neo Medical Center, ¹Kyung-Hee Medical,
Kyung Hee University, Seoul, Korea

Abstract

Cerebral amyloid angiopathy (CAA) is one of the most important cause of spontaneous intracerebral hemorrhage (ICH) in the eldery patients, but is apt to be overlooked in the primary medicine. Moreover, CAA is reported to play a major role in the pathogenesis of spontaneous ICH, regardless of the existence of hypertension. The vessels of amyloid angiopathy have a tendency to be slowly coagulated and to be prone to rebleed. We report two cases of CAA that caused spontaneous ICH and describe the characteristic computed tomography (CT) findings of CAA, which can be useful for neurosurgeons treating the patient.

Key Words: Cerebral amyloid angiopathy (CAA)ㆍEldery patientsㆍIntracerebral hemorrhage (ICH)